Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,096.44 / $6,248.73 / $20,680.40	Facility		$3,096.44	$6,248.73	$20,680.40
Asuris Northwest Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $3,296.48 / $52,988.15	Facility		$55.00	$3,296.48	$52,988.15
Kaiser Permanente Facility/Professional Facility Modifier Low / Median / High Price $2,317.56 / $5,149.67 / $6,254.19	Facility		$2,317.56	$5,149.67	$6,254.19
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,766.63 / $4,613.96 / $4,939.52	Facility		$3,766.63	$4,613.96	$4,939.52
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,296.48 / $3,296.48 / $3,320.11	Facility		$3,296.48	$3,296.48	$3,320.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,120.00 / $3,323.00 / $36,803.00	Facility		$1,120.00	$3,323.00	$36,803.00